Active NPI
Amelia Adelaide Wooten, MD
- Neurology with Special Qualifications in Child Neurology Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 60158
- Practice address
- 2195 Harrodsburg Rd Ste 2
Lexington, KY 40504-3516 - Phone
- (859) 562-1868
- Fax
- (859) 257-0421
- NPI assigned
- Mar 28, 2019
- Last updated
- Dec 23, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 60158 | KY | Primary |
Addresses
Primary practice location
2195 Harrodsburg Rd Ste 2
Lexington, KY 40504-3516
Mailing address
800 Rose St RM MN-118
Lexington, KY 40536-7001
Phone (859) 323-5157
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Medical Services Foundation, Inc | Current | Accepting new patients | |
| University of Kentucky | Current | Accepting new patients | |
| Children's Hospital Los Angeles | Past | Accepting new patients | |
| Commission for Children With Special Health Car | Past | Accepting new patients |
Locations
110 Johnson Ln
Barbourville, KY 40906
Phone (606) 546-5109
103 Town and Country Ln
Ste M
Hazard, KY 41701
2195 Harrodsburg Rd
Ste 125
Lexington, KY 40504
Phone (859) 257-4732
2195 Harrodsburg Rd
Ste 2
Lexington, KY 40504
Phone (859) 323-8082
2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800
333 Waller Ave
Ste 300
Lexington, KY 40504
Phone (859) 252-3170
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
800 Rose St
Rm MN118
Lexington, KY 40536
Phone (859) 323-5157
214 W 1st St
Morehead, KY 40351
Phone (606) 783-8610
5000 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7645
401 Bogle St
Ste 104
Somerset, KY 42503
Phone (800) 525-4279
Interoperability endpoints
- awooten23440@ukhcdirect.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
-
- Public Health or Welfare Agency
- Louisville, KY
- NPI 1831197953
-
- Children's Chronic Disease Hospital
- Los Angeles, CA
- NPI 1366527954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1811458250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 ROSE ST RM MN-118",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405367001",
"telephone_number": "859-323-5157",
"fax_number": "859-323-1315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2195 HARRODSBURG RD STE 2",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043516",
"telephone_number": "859-562-1868",
"fax_number": "859-257-0421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOTEN",
"first_name": "AMELIA",
"middle_name": "ADELAIDE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-28",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "KY",
"license": "60158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.